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Handbook of Diabetes Management (eBook)

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2007 | 2005
XVIII, 404 Seiten
Springer US (Verlag)
978-0-387-23490-8 (ISBN)

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The growing problem of diabetes presents difficult challenges for sufferers and for those in the healthcare professions, who are in the unenviable position of trying to convince patients to change their lifestyle 'for their own good.' Handbook of Diabetes Management provides practical knowledge and advice that can help you anticipate the challenges of working with these Patients. What's more, since the knowledge here is evidence-based, you can assure your patients that the guidelines you're presenting to them have been shown to be effective.

This guide takes into account the complexity of the disease, the diversity of the populations it affects, and the continued improvement of care systems. It discusses the origins of diabetes and medication management and treatment, then presents advice based on the latest research findings on:

-behavioral health and self-management issues and interventions

-tips for patients dealing with issues such as travel, surgery, and foot care

-treating specific patient populations including Latinos, Native Americans, rural communities, and the uninsured

-case studies from successful, replicable programs

Also addressing the business aspects of diabetes care related to such areas as legal and regulatory issues and health policy initiatives, Handbook of Diabetes Management, brings you practical insights based on the latest research.

'This handbook book by expert professionals covers every aspect of diabetic care. It is a sound, evidence-based, culturally informative, practical approach to diabetes prevention and disease management.'

-Kathleen Lambert, BSN, RN, JD, from the Foreword



Donna Zazworsky, MS, RN, CCM, FAAN, is an internationally known expert in case management and disease management with community populations. She is managing partner for Case Manager Solutions, LLC, and director of Grants, Partnerships and Policy for St. Elizabeth of Hungary Community Health Center---a large clinic that serves more than 18,000 uninsured in Tucson and the surrounding communities. On a personal note, Donna's mother and two maternal aunts have experienced the devastating complications of Type 2 Diabetes. Six years ago, her mother suffered a stroke that has left her with left sided weakness. Both aunts died of diabetes complications related to above the knee bilateral amputations and end stage renal disease. Not only is diabetes prevention a personal motivation for Donna, but case management and disease management systems provide a primary focus for her work in understanding and reducing barriers for people with diabetes.

Jane Nelson Bolin, RN, JD, PhD, is a professor and researcher in rural health and disease management at Texas A&M. On a personal note, Jane has had gestational diabetes during both of her pregnancies. Knowing that the incidence of getting Type 2 diabetes at a later age is more than 70%, Jane practices a personal prevention program that includes diet and exercise.

Vicki Gaubeca, MPH, is assistant director of Public Affairs and Community Outreach for the Mel and Enid Zuckerman Arizona College of Public Health. On a personal note, Vicki has had Type 1 Diabetes since she was a teenager. She knows the day-to-day struggles of self management and hopes that this handbook will lend insight to the public health workers who help people with diabetes.


The growing problem of diabetes presents difficult challenges for sufferers and for those in the healthcare professions, who are in the unenviable position of trying to convince patients to change their lifestyle "e;for their own good."e; Handbook of Diabetes Management provides practical knowledge and advice that can help you anticipate the challenges of working with these Patients. What's more, since the knowledge here is evidence-based, you can assure your patients that the guidelines you're presenting to them have been shown to be effective.This guide takes into account the complexity of the disease, the diversity of the populations it affects, and the continued improvement of care systems. It discusses the origins of diabetes and medication management and treatment, then presents advice based on the latest research findings on:-behavioral health and self-management issues and interventions-tips for patients dealing with issues such as travel, surgery, and foot care-treating specific patient populations including Latinos, Native Americans, rural communities, and the uninsured-case studies from successful, replicable programsAlso addressing the business aspects of diabetes care related to such areas as legal and regulatory issues and health policy initiatives, Handbook of Diabetes Management, brings you practical insights based on the latest research."e;This handbook book by expert professionals covers every aspect of diabetic care. It is a sound, evidence-based, culturally informative, practical approach to diabetes prevention and disease management."e;-Kathleen Lambert, BSN, RN, JD, from the Foreword

Donna Zazworsky, MS, RN, CCM, FAAN, is an internationally known expert in case management and disease management with community populations. She is managing partner for Case Manager Solutions, LLC, and director of Grants, Partnerships and Policy for St. Elizabeth of Hungary Community Health Center---a large clinic that serves more than 18,000 uninsured in Tucson and the surrounding communities. On a personal note, Donna’s mother and two maternal aunts have experienced the devastating complications of Type 2 Diabetes. Six years ago, her mother suffered a stroke that has left her with left sided weakness. Both aunts died of diabetes complications related to above the knee bilateral amputations and end stage renal disease. Not only is diabetes prevention a personal motivation for Donna, but case management and disease management systems provide a primary focus for her work in understanding and reducing barriers for people with diabetes. Jane Nelson Bolin, RN, JD, PhD, is a professor and researcher in rural health and disease management at Texas A&M. On a personal note, Jane has had gestational diabetes during both of her pregnancies. Knowing that the incidence of getting Type 2 diabetes at a later age is more than 70%, Jane practices a personal prevention program that includes diet and exercise. Vicki Gaubeca, MPH, is assistant director of Public Affairs and Community Outreach for the Mel and Enid Zuckerman Arizona College of Public Health. On a personal note, Vicki has had Type 1 Diabetes since she was a teenager. She knows the day-to-day struggles of self management and hopes that this handbook will lend insight to the public health workers who help people with diabetes.

About the Editors 5
Contributors 6
Foreword 9
Preface 11
Contents 13
I The Diabetes Framework 16
1 Essentials of Quality Improvement with Special Reference to Diabetes 17
2 The Chronic Care Model 33
3 Promoting Cultural Competence through Community Partnerships 48
3A Hispanic American Culture and Diabetes 53
3B Cultural Competency 56
4 Preparing for the Technology Revolution in Health Care 59
II Caring for People with Diabetes 69
5 Concepts on the Origin of Diabetes 70
6 Medication Management 78
7 Nutrition for Individuals with Diabetes 88
8 Diabetes and Exercise 134
9 Living Well with Diabetes 152
10 Planning for Sick Days, Surgery, and Travel 160
11 Self-Management 169
12 The Diabetic Foot 183
III Special Care Issues 189
13 Prediabetes 190
14 Gestational Diabetes 195
15 Chronic Kidney Disease 205
16 Caring for the Uninsured and Diabetes 220
17 Disease Management in Rural Populations 227
18 Caring for the Border Communities 240
19 Utilizing Community Health Advisors in Diabetes Care Management 249
20 Complementary and Alternative Medicine in Diabetes 259
21 Leading Edge Technologies Related to Diabetes Care 274
IV Business Issues 282
22 Disease Management Researchand Policy Initiatives 283
23 Legal and Regulatory Considerations of Diabetes Disease Management 300
24 Economics 310
25 Funding 316
26 Tools for Getting Your Message Out about Diabetes 322
Case Study 1 346
Case Study 2 353
Case Study 3 359
Case Study 4 364
Case Study 5 367
Case Study 6 383
Index 390

Erscheint lt. Verlag 29.12.2007
Zusatzinfo XVIII, 404 p. 28 illus.
Verlagsort New York
Sprache englisch
Themenwelt Medizin / Pharmazie Allgemeines / Lexika
Medizinische Fachgebiete Innere Medizin Diabetologie
Studium Querschnittsbereiche Prävention / Gesundheitsförderung
Schlagworte Diabetes • Disease Management • Economics • Health Care • health policy • Hospital
ISBN-10 0-387-23490-X / 038723490X
ISBN-13 978-0-387-23490-8 / 9780387234908
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